Become a Member

 


Please complete this form to begin the membership application process. Applicants must live, work, go to school or worship in Lorain County to be eligible. A Member Service Representative will contact you to complete the application process.

Your Name:*
E-mail:*
Phone:*
-
Address:*
How did you hear about us?*
Type of account I am interested in:*
Please indicate the membership qualification(s) you meet: (live/ work/ worship/ attend school)*
When is the best time to contact you:

* Indicates required fields

Type the characters you see here:
 

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